Individual
CHRISTOPHER BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
333 S MAIN ST, OPELOUSAS, LA 70570
(337) 945-1032
Mailing address
333 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 945-1032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6143
LA
Other
Enumeration date
05/07/2014
Last updated
01/27/2017
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